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The use of hypnotic communication in PICC placement: randomized controlled trial study
Davide Monolo1, Michela Barisone2, Giuseppe Cordio1
1ASST Ovest Milanese, Legnano, Italy.
The American Journal of Clinical Hypnosis
|October 3, 2023
Summary
Hypnotic communication significantly reduced patient stress during Peripherally Inserted Central Venous Catheter (PICC) placement. This technique, combined with buffered Lidocaine, proved more effective than buffered Lidocaine alone in managing negative emotions.
Area of Science:
- Medical Procedures
- Psychological Interventions
- Patient Care
Background:
- Medical procedures often induce unpredictable personal stress.
- Hypnotic communication is a documented technique for mitigating stress and pain during invasive procedures.
Purpose of the Study:
- To compare the efficacy of hypnotic communication plus buffered Lidocaine against buffered Lidocaine alone.
- To assess the impact on patients' negative emotions during Peripherally Inserted Central Venous Catheter (PICC) placement.
- To evaluate secondary outcomes including pain, satisfaction, procedure time, and costs.
Main Methods:
- A randomized controlled trial was conducted in an Italian hospital.
- Participants needing a PICC, aged over 18 and cognitively oriented, were enrolled.
- Emotional assessment utilized the Emotion Thermometer Tool.
Main Results:
- The experimental group using hypnotic communication showed a statistically significant greater reduction in overall emotional distress.
- Significant reductions in anger and depression were observed in the hypnotic communication group.
- Both groups reported low levels of perceived pain.
Conclusions:
- Hypnotic communication is an effective strategy for alleviating emotional stress in patients undergoing PICC placement.
- Further investigation is warranted to fully elucidate the interplay between hypnotic communication, emotional distress, and pain perception in patients undergoing central vascular catheter insertion.
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